Organization
CCCST - UVALDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER M LYONS MD (PRESIDENT)
(210) 595-5300
Entity
Organization
Contact information
Practice address
1025 GARNER FIELD RD, UVALDE, TX 78801-4809
(830) 278-2469
(830) 278-2142
Mailing address
4411 MEDICAL DR STE 100, SAN ANTONIO, TX 78229-3832
(210) 595-5300
(210) 614-8740
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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